FORMULARIUM STANDARISASI

CP MPKU PP. MUHAMMADIYAH SINERGI SURYA MEDIKA

Tahun 2019 - 2021
OBAT GENERIK BERLOGO (OGB)
PERINGKAT 1

No BAHAN AKTIF /KOMPOSISI SEDIAAN NAMA OBAT

1 2 3 4
1 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj + Pelarut Benz
2 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj tanpa pelarut
3 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj tanpa pelarut
4 6A-METILPREDNISOLON 4MG TABLET Methylprednisolon 4mg tab
5 6A-METILPREDNISOLON 500MG INJEKSI Methylprednisolon 500mg Inj tanpa pelarut
6 6A-METILPREDNISOLON 500MG INJEKSI Methylprednisolon 500mg Inj+ Pelarut Benzy
7 6A-METILPREDNISOLON 8MG TABLET Methylprednisolon 8mg tab
16 ALLOPURINOL 100 MG TABLET ALLOPURINOL 100 MG
17 ALLOPURINOL 300 MG TABLET ALLOPURINOL 300 MG
20 AMBROXOL HCL 15MG SYRUP Ambroxol 15mg Elixir
29 AMOXICILLIN DROP Amoxicillin Trihydrate 100mg/ml Sirup Kerin
33 AMOXICILLIN1G INJ INJEKSI Amoxicillin 1 g
34 AMPICILLIN INJEKSI Ampicillin 1 gr Inj
35 ANTALGIN Tablet Antalgin 500mg kapt
36 ANTALGIN INJEKSI Antalgin 250mg Inj (500mg/2ml)
40 AQUA PRO INJECTION INFUS Aqua Pro 10 ml Inj
41 AQUA PRO INJECTION INFUS Aqua Pro 20 ml Inj
42 AQUA PRO INJECTION INFUS Aqua Pro 50 ml Inj
43 ASAM MEFENAMAT SUSPENSI Asam Mefenamat Suspensi 50mg/5ml
44 ASAM MEFENAMAT 500MG TABLET Asam Mefenamat 500mg kapt
45 ASAM TRANEXAMAT 250MG INJEKSI Asam Traneksamat 250mg Inj
46 ASAM TRANEXAMAT 500MG INJEKSI Asam Traneksamat 500mg Inj
47 ASAM TRANEXAMAT 500MG TABLET Asam Traneksamat 500mg tab
51 ATRACURIUM BESYLATE 1% 2.5ML INJEKSI Atracurium Besylate 1 % 2.5 ml
53 AZITHROMICIN 500MG INJEKSI Azithromycin 500 mg Serbuk Infus
55 AZITHROMICIN DS 200MG DRY SYRUP Azithromycin 200mg/5ml Dry Syr
59 BETAMETHASONE KREAM Betamethasone 17 Valerate 15 gram
60 BETAMETHASONE KREAM Betamethasone 17 Valerate 5 gram
63 Bisoprolol Fumarate TABLET Bisoprolol Fumarate Tablet Salut Selaput 2,
65 BUPIVACAINE HCL 0.5% HVY 4 ML INJEKSI BUPIVACAINE HCL 0.5% HVY 4 ML
76 CEFADROXIL ANHYDRAT DRY SYRUP Cefadroxil 250 mg/5ml Dry Syr
81 CEFAPERAZON NA + SULBACTAM NINJEKSI Cefoperazon Na + sulbactam Na
87 CEFOPERAZONE NA 1G INJEKSI Cefoperazon Na 1 gr
88 CEFOTAXIME NA 1G INJEKSI Cefotaxime 1 gr Inj
89 CEFOTIAM 1G INJEKSI CEFOTIAM 1G
91 CEFTAZIDIME PENTAHYDRATE 1G INJEKSI CEFTAZIDIME PENTAHYDRATE 1G
92 CEFTIZOXIME NA 1G INJEKSI Ceftizoxime Sodium Serbuk Injeksi
93 CEFTRIAXONE DI NATRIUM 1G INJEKSI Ceftriaxone 1 gr Inj
98 Chloramphenicol SYRUP Chloramphenicol
100 Chloramphenicol CAPSUL Chloramphenicol
103 CILOSTAZOL 100MG TABLET CILOSTAZOL 100MG
104 Cimetidin TABLET Cimetidine 200 mg tab
105 Ciprofloxacin 200 mg / 100 ml INFUS Ciprofloxacin 200 mg / 100 ml
113 CITICOLINE 1G INJEKSI Citicoline 1000mg/8ml Inj
128 COTRIMOXAZOLE TABLET Cotrimoxazole 480mg tab
129 COTRIMOXAZOLE TABLET Cotrimoxazole Forte 960 mg kapt
130 CYANOCOBALAMIN 1000 INJEKSI Vit B12 (Cyanocobalamin) 1000mcg/ml Inj
131 CYANOCOBALAMIN 500 INJEKSI Vit B12 (Cyanocobalamin) 500mcg/ml Inj
132 CYANOCOBALAMIN 500 INJEKSI Vit6
133 Desloratadin SYRUP Desloratadine 0,5mg/ml sirup
135 Desloratadin 5MG Injeksi Dexamethasone Injeksi 0,5 mg kapt
137 DEXAMETHASONE INJEKSI Dexamethasone Injeksi 5mg/ml Inj
146 DIPHENHYDRAMINE INJEKSI Diphenhydramine 10mg/ml Hydrochloride In
150 Domperidone DROP Domperidon 5mg/ml drops
170 ETHAMBUTOL 500MG TABLET ETHAMBUTOL 500MG
177 Fluconazole 200 mg / 100 mL INFUS Fluconazole 200mg/vial 100 ml Infus
178 FLUNARIZINE 10MG TABLET Flunarizine 10mg
179 FLUNARIZINE 5MG TABLET FLUNARIZINE 5MG
191 GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 4MG
196 Human Albumin 20% 100ML INFUS Kedrialb Infus 20% (Human Albumin 200 g/
197 Human Albumin 20% 50ML INFUS Kedrialb Infus 20% (Human Albumin 200 g/
200 IBUPROFEN 100MG SYRUP IBUPROFEN 100MG
205 Iohexol 300 mg INJEKSI Iohexol 300 mg Inj
213 ITRACONAZOLE 100MG KAPSUL Itraconazole 100 mg kaps
218 KETOPROFEN 100MG TABLET KETOPROFEN 100MG
223 KOMBINASI :CEFAPERAZON NA + SINJEKSI Cefoperazone + Sulbactam 1 gr Inj
225 KOMBINASI:IMPIENEM + CILASTATI INJEKSI Imipenem - Cilastatin 1 gr
233 LEVOFLOXACIN 500MG KAPLET LEVOFLOXACIN 500MG
234 Levofloxacin 750 mg  INFUS LEVOFLOXACIN Infus 750MG/150ML Infus
237 Lidocaine INJEKSI Lidocaine HCL 5% Inj
242 L-Ornithin Aspartat INJEKSI  10ml
Ornithine Aspartate 500 mg Injeksi
249 MEROPENEM 1G INJEKSI MEROPENEM 1G
250 MEROPENEM 500MG INJEKSI Meropenem 500 mg Inj
251 METAMIZOLE NA INJEKSI Metamizole Sodium Monohydrate 500mg Inj
253 METFORMIN HCL 850MG TABLET METFORMIN HCL 850MG
264 Metoclopramide pediatric drMetoclopramide Hydrchloride Monohydrate
270 METRONIDAZOLE 500MG TABLET METRONIDAZOLE 500MG
271 METRONIDAZOLE 500MG INF INFUS Metronidazole 500 mg/vial 100ml Infus
276 MOXIFLOXACIN HCL INFUS MOXIFLOXACIN HCL
277 MOXIFLOXACIN HCL TABLET Moxifloxacin Hydrochloride 400 mg
278 MOXIFLOXACIN HCL 400 MG KAPLET MOXIFLOXACIN HCL 400 MG
281 NATRIUM DIKLOFENAK 50MG TABLET Diclofenac Sodium 50 mg (Natrium Diklofen
283 NIMODIPINE INFUS Nimodipine Infus 10mg/50ml
286 OFLOXACIN INFUS Ofloxacin Infus
290 Omeprazole 40MG INJEKSI Omeprazole 40MG
291 Ondansentron 4MG INJEKSI Ondansentron 4mg/2ml Inj
293 Ondansentron 8MG INJEKSI Ondansentron 8MG
297 Pantoprazol 40 MG INJEKSI Pantoprazole 40 mg Inj
298 PARACETAMOL TABLET Paracetamol 500 mg kapt
299 Paracetamol 1 g / 100 ml INFUS Paracetamol 1 g / 100 ml
300 PARACETAMOL 100mg/ml drops drop PARACETAMOL 100mg/ml drops
301 PARACETAMOL 120mg/5ml Syr SIRUP PARACETAMOL 120mg/5ml Syr
302 PARACETAMOL 125 MG SIRUP Paracetamol 125 mg Syr
307 Phytomenadione INJEKSI Phytomenadione
309 Piracetam 12 g / 60 mL INFUS Piracetam 12 g / 60 mL
311 PIRACETAM 1G INJEKSI Pracetam 1 g / 5 mL inj
312 PIRACETAM 3G INJEKSI Piracetam 3 g / 15 mL Inj
313 PIRACETAM 400MG KAPSUL PIRACETAM 400MG
318 PREDNISOLONE Tablet Prednison 5 mg tab
319 PREDNISOLONE ACETAT Tablet PREDNISON 5 MG
322 PROCAINE-PENICILLIN-G INJEKSI Procain Benzyl Penicillin Inj 3.000.000 IU
323 PROCAINE-PENICILLIN-G TABLET Pyratthuazine 4omg, Pyridoxine 37,5 mg
335 RIFAMPICIN 450 MG FC CAPLET RIFAMPICIN 450 MG
336 RIFAMPICIN 600MG FC CAPLET RIFAMPICIN 600MG
337 RISPERIDONE 1MG/ML SYrup RISPERIDONE 1MG/ML
339 ROCURONIUM BROMIDE 10mg/ml INJEKSI Rocuronium 50mg/5ml Inj
346 Simvastatin 10 mg TABLET Simvastatin 10 mg
347 Simvastatin 20 mg TABLET Simvastatin 20 mg kaptab salut selaput
349 SOBUVIR TABLET Sobuvir 400mg Tablet Salut Selaput
350 Sodium Valporate SYRUP Sodium Valporate Syr
356 SULBENICILLIN DISODIUM INJEKSI SULBENICILLIN DISODIUM
357 SULFASALAZINE 500 MG TABLET Sulfazalazine 500mg tab
362 THIAMPHENICOL CAP 500 KAPSUL THIAMPHENICOL CAP 500
364 THIOPENTAL 1000MG INJEKSI THIOPENTAL 1000MG
365 THIOPENTAL 500MG INJEKSI THIOPENTAL 500MG
376 VALACICLOVIR 500MG KAPLET VALACICLOVIR 500MG
381 VITAMIN INJEKSI Vit B1
386 ZINC Sulfas Monohydrate DROP ZINC Sulfas Monohydrate Sirup
 PERINGKAT 1
HARGA JADI
HARGA DISKON HARGA JADI
PRINCIPLE HNA/BOX ISI/BOX SATUAN( blm
SATUAN JADI satuan+PPN
ppn)

5 6 7 8 9 10 11
BERNOFARM 45,000.00 1.00 45,000.00 76.00 10,800.00 11,880.00
BERNOFARM 450,000.00 10.00 45,000.00 76.00 10,800.00 11,880.00
BERNOFARM 4,500,000.00 100.00 45,000.00 76.00 10,800.00 11,880.00
BERNOFARM 48,060.00 100.00 480.60 60.00 192.24 211.46
BERNOFARM 1,300,000.00 10.00 130,000.00 30.00 91,000.00 100,100.00
BERNOFARM 140,000.00 1.00 140,000.00 30.00 98,000.00 107,800.00
BERNOFARM 63,818.00 100.00 638.18 50.00 319.09 351.00
BERNOFARM 25,000.00 100.00 250.00 45.00 137.50 151.25
BERNOFARM 50,000.00 100.00 500.00 40.00 300.00 330.00
BERNOFARM 60,000.00 10.00 6,000.00 50.00 3,000.00 3,300.00
BERNOFARM 130,000.00 10.00 13,000.00 10.00 11,700.00 12,870.00
BERNOFARM 135,000.00 10.00 13,500.00 30.00 9,450.00 10,395.00
BERNOFARM 120,000.00 10.00 12,000.00 37.00 7,560.00 8,316.00
BERNOFARM 150,000.00 1,000.00 150.00 40.00 90.00 99.00
BERNOFARM 81,818.00 30.00 2,727.27 10.00 2,454.54 2,699.99
BERNOFARM 300,000.00 100.00 3,000.00 50.00 1,500.00 1,650.00
BERNOFARM 60,000.00 10.00 6,000.00 40.00 3,600.00 3,960.00
BERNOFARM 15,000.00 1.00 15,000.00 45.00 8,250.00 9,075.00
BERNOFARM 100,000.00 10.00 10,000.00 40.00 6,000.00 6,600.00
BERNOFARM 27,000.00 100.00 270.00 40.00 162.00 178.20
BERNOFARM 70,000.00 10.00 7,000.00 65.00 2,450.00 2,695.00
Bernofarm 100,000.00 10.00 10,000.00 81.12 1,888.00 2,076.80
Bernofarm 180,000.00 100.00 1,800.00 20.00 1,440.00 1,584.00
BERNOFARM 400,000.00 10.00 40,000.00 65.00 14,000.00 15,400.00
BERNOFARM 130,000.00 1.00 130,000.00 23.00 100,100.00 110,110.00
Bernofarm 64,000.00 1.00 64,000.00 50.00 32,000.00 35,200.00
Bernofarm 375,000.00 25.00 15,000.00 20.00 12,000.00 13,200.00
Bernofarm 175,000.00 25.00 7,000.00 20.00 5,600.00 6,160.00
Bernofarm 105,000.00 30.00 3,500.00 80.00 700.00 770.00
BERNOFARM 350,000.00 10.00 35,000.00 50.00 17,500.00 19,250.00
Bernofarm 15,000.00 1.00 15,000.00 35.00 9,750.00 10,725.00
BERNOFARM 130,000.00 1.00 130,000.00 85.00 19,500.00 21,450.00
BERNOFARM 800,000.00 10.00 80,000.00 80.00 16,000.00 17,600.00
Bernofarm 4,000,000.00 100.00 40,000.00 89.81 4,076.00 4,483.60
BERNOFARM 150,000.00 1.00 150,000.00 15.00 127,500.00 140,250.00
BERNOFARM 600,000.00 10.00 60,000.00 79.00 12,600.00 13,860.00
BERNOFARM 1,200,000.00 10.00 120,000.00 40.00 72,000.00 79,200.00
Bernofarm 3,500,000.00 100.00 35,000.00 87.77 4,280.50 4,708.55
BERNOFARM 11,818.00 1.00 11,818.00 35.00 7,681.70 8,449.87
BERNOFARM 60,000.00 100.00 600.00 35.00 390.00 429.00
BERNOFARM 950,000.00 100.00 9,500.00 30.00 6,650.00 7,315.00
BERNOFARM 20,000.00 100.00 200.00 30.00 140.00 154.00
BERNOFARM 70,000.00 1.00 70,000.00 85.00 10,500.00 11,550.00
Bernofarm 750,000.00 10.00 75,000.00 60.00 30,000.00 33,000.00
Bernofarm 25,000.00 100.00 250.00 30.00 175.00 192.50
Bernofarm 50,000.00 100.00 500.00 30.00 350.00 385.00
Bernofarm 320,000.00 100.00 3,200.00 15.00 2,720.00 2,992.00
Bernofarm 230,000.00 100.00 2,300.00 15.00 1,955.00 2,150.50
Bernofarm 230,000.00 100.00 2,300.00 15.00 1,955.00 2,150.50
Bernofarm 500,000.00 10.00 50,000.00 30.00 35,000.00 38,500.00
Bernofarm 14,000.00 100.00 140.00 40.00 84.00 92.40
Bernofarm 218,400.00 100.00 2,184.00 30.00 1,528.80 1,681.68
Bernofarm 70,000.00 10.00 7,000.00 20.00 5,600.00 6,160.00
BERNOFARM 30,000.00 1.00 30,000.00 30.00 21,000.00 23,100.00
BERNOFARM 62,575.00 100.00 625.75 30.00 438.03 481.83
Bernofarm 110,000.00 1.00 110,000.00 70.00 33,000.00 36,300.00
Bernofarm 318,182.00 100.00 3,181.82 40.00 1,909.09 2,100.00
BERNOFARM 200,000.00 100.00 2,000.00 40.00 1,200.00 1,320.00
BERNOFARM 284,294.00 100.00 2,842.94 75.00 710.74 781.81
Bernofarm 1,650,000.00 1.00 1,650,000.00 20.00 1,320,000.00 1,452,000.00
Bernofarm 820,000.00 1.00 820,000.00 20.00 656,000.00 721,600.00
BERNOFARM 100,000.00 10.00 10,000.00 30.00 7,000.00 7,700.00
Bernofarm 150,000.00 1.00 150,000.00 25.00 112,500.00 123,750.00
Bernofarm 120,000.00 30.00 4,000.00 35.00 2,600.00 2,860.00
BERNOFARM 120,000.00 100.00 1,200.00 50.00 600.00 660.00
Bernofarm 130,000.00 1.00 130,000.00 86.04 18,148.00 19,962.80
Bernofarm 200,000.00 1.00 200,000.00 30.00 140,000.00 154,000.00
BERNOFARM 120,727.00 100.00 1,207.27 60.00 482.91 531.20
Bernofarm 200,000.00 1.00 200,000.00 20.00 160,000.00 176,000.00
Bernofarm 200,000.00 10.00 20,000.00 30.00 14,000.00 15,400.00
Bernofarm 800,000.00 10.00 80,000.00 20.00 64,000.00 70,400.00
BERNOFARM 2,000,000.00 10.00 200,000.00 84.00 32,000.00 35,200.00
BERNOFARM 1,200,000.00 10.00 120,000.00 80.00 24,000.00 26,400.00
Bernofarm 45,454.00 10.00 4,545.40 20.00 3,636.32 3,999.95
BERNOFARM 36,000.00 100.00 360.00 45.00 198.00 217.80
BERNOFARM 180,000.00 10.00 18,000.00 20.00 14,400.00 15,840.00
BERNOFARM 24,000.00 100.00 240.00 30.00 168.00 184.80
BERNOFARM 50,000.00 1.00 50,000.00 85.00 7,500.00 8,250.00
BERNOFARM 300,000.00 1.00 300,000.00 55.00 135,000.00 148,500.00
Bernofarm 700,000.00 20.00 35,000.00 45.00 19,250.00 21,175.00
BERNOFARM 700,000.00 20.00 35,000.00 45.00 19,250.00 21,175.00
BERNOFARM 23,747.00 100.00 237.47 45.00 130.61 143.67
BERNOFARM 165,000.00 1.00 165,000.00 45.00 90,750.00 99,825.00
Bernofarm 100,000.00 1.00 100,000.00 20.00 80,000.00 88,000.00
BERNOFARM 80,000.00 1.00 80,000.00 84.00 12,800.00 14,080.00
Bernofarm 50,000.00 10.00 5,000.00 79.56 1,022.00 1,124.20
BERNOFARM 72,728.00 10.00 7,272.80 50.00 3,636.40 4,000.04
BERNOFARM 80,000.00 1.00 80,000.00 83.00 13,600.00 14,960.00
Bernofarm 114,550.00 1,000.00 114.55 35.00 74.46 81.90
Bernofarm 60,000.00 1.00 60,000.00 81.22 11,268.00 12,394.80
Bernofarm 150,000.00 10.00 15,000.00 20.00 12,000.00 13,200.00
BERNOFARM 50,000.00 10.00 5,000.00 10.00 4,500.00 4,950.00
BERNOFARM 5,000.00 1.00 5,000.00 40.00 3,000.00 3,300.00
BERNOFARM 80,000.00 10.00 8,000.00 58.00 3,360.00 3,696.00
BERNOFARM 70,000.00 1.00 70,000.00 45.00 38,500.00 42,350.00
BERNOFARM 60,000.00 10.00 6,000.00 65.00 2,100.00 2,310.00
BERNOFARM 186,600.00 10.00 18,660.00 70.00 5,598.00 6,157.80
BERNOFARM 49,200.00 100.00 492.00 45.00 270.60 297.66
BERNOFARM 136,364.00 1,000.00 136.36 30.00 95.45 105.00
BERNOFARM 18,000.00 100.00 180.00 30.00 126.00 138.60
BERNOFARM 600,000.00 30.00 20,000.00 10.00 18,000.00 19,800.00
BERNOFARM 120,000.00 100.00 1,200.00 10.00 1,080.00 1,188.00
BERNOFARM 170,000.00 100.00 1,700.00 30.00 1,190.00 1,309.00
BERNOFARM 270,000.00 100.00 2,700.00 40.00 1,620.00 1,782.00
BERNOFARM 150,000.00 1.00 150,000.00 15.00 127,500.00 140,250.00
BERNOFARM 70,000.00 1.00 70,000.00 35.06 45,458.00 50,003.80
BERNOFARM 55,963.00 100.00 559.63 75.00 139.91 153.90
BERNOFARM 111,928.00 100.00 1,119.28 75.00 279.82 307.80
BERNOFARM 3,400,000.00 28.00 121,428.57 10.00 109,285.71 120,214.29
BERNOFARM 70,000.00 1.00 70,000.00 10.00 63,000.00 69,300.00
BERNOFARM 350,000.00 10.00 35,000.00 15.00 29,750.00 32,725.00
BERNOFARM 200,000.00 100.00 2,000.00 15.00 1,700.00 1,870.00
BERNOFARM 120,000.00 100.00 1,200.00 40.00 720.00 792.00
BERNOFARM 850,000.00 10.00 85,000.00 5.00 80,750.00 88,825.00
BERNOFARM 680,000.00 10.00 68,000.00 5.00 64,600.00 71,060.00
BERNOFARM 300,000.00 30.00 10,000.00 20.00 8,000.00 8,800.00
BERNOFARM 120,000.00 100.00 1,200.00 15.00 1,020.00 1,122.00
BERNOFARM 20,000.00 1.00 20,000.00 10.00 18,000.00 19,800.00
 CP MPKU PP. MUHAMMADIYAH SINERGI SURYA MEDIKA

OBAT GENERIK BERLOGO (OGB)

P
Ket
era
RANKING No BAHAN AKTIF /KOMPOSISI SEDIAAN NAMA OBAT
nga
n
12 13 1 2 3 4
1 1
1 2
1 3
1 4
1 5
1 6
1 7
1 16 ALLOPURINOL 100MG TABLET Allopurinol 100
1 17 ALLOPURINOL 300MG TABLET Allopurinol 300 mg / 100 tablet
1 20 AMBROXOL HCL 15MG SYRUP AMBROXOL HCL 15MG
1 29 1
1 33 1
1 34 AMPICILLIN INJEKSI AMPICILLIN 1 GR INJ
1 35 ANTALGIN Tablet Metamizole Sodium
36 1
1 40 1
1 41 1
1 42 1
1 43 1
1 44 ASAM MEFENAMAT 500MG TABLET Mefenamic Acid 500 mg
1 45 ASAM TRANEXAMAT 250MG INJEKSI Asam Traneksamat 250 mg / 5 mL In
1 46 ASAM TRANEXAMAT 500MG INJEKSI Asam Traneksamat 100 mg/ 5 mL
1 47 1
1 51 ATRACURIUM BESYLATE 1% 2.5ML INJEKSI Atracurium Besylate Injeksi 2.5 mL
1 53 AZITHROMICIN 500MG INJEKSI AZITHROMICIN 500MG
1 55 AZITHROMICIN DS 200MG DRY SYRUPAZITHROMICIN DS 200MG
1 59 1
1 60 1
1 63 Bisoprolol Fumarate 5 mg TABLET Bisoprolol Fumarate Tablet Salut Se
1 65 BUPIVACAINE HCL 0.5% HVY 4 ML INJEKSI Bupivacaine HCl Heavy Injeksi 5 mg
1 76 1
1 81 CEFAPERAZON NA + SULBACTAM INJEKSI CEFAPERAZON NA + SULBACTAM NA
1 87 CEFOPERAZONE NA 1G INJEKSI Cefoperazone Sulbactam
1 88 CEFOTAXIME NA 1G INJEKSI CEFOTAXIME INJ 1 GR
1 89 CEFOTIAM 1G INJEKSI Cefotiam Serbuk Injeksi 1 G
1 91 CEFTAZIDIME PENTAHYDRATE 1G INJEKSI CEFTAZIDIME PENTAHYDRATE 1G
1 92 CEFTIZOXIME NA 1G INJEKSI Ceftizoxime 1 g Dry Inj
1 93 CEFTRIAXONE DI NATRIUM 1G INJEKSI Ceftriaxone 1 gram Injection / 2 vial
1 98 1
1 100 Chloramphenicol CAPSUL CHLORAMPHENICOL 250 MG
1 103 1
1 104 Cimetidin TABLET Cimetidin 200/250 MG
1 105 Ciprofloxacin 200 mg / 100 ml INFUS Ciprofloxacin 200 mg / 100 ml
1 113 1
1 128 1
1 129 1
1 130 1
1 131 1
1 132 1
1 133 Desloratadin SYRUP Desloratadine 0,5mg/ml sirup
1 135 1
1 137 1
1 146 1
1 150 1
1 170 ETHAMBUTOL 500MG TABLET ETHAMBUTOL 500MG
1 177 Fluconazole 200 mg / 100 mL INFUS Fluconazole 200 mg / 100 mL
1 178 1
1 179 1
1 191 GLIMEPIRIDE 4MG TABLET Glimepiride 4 mg / 50 tablet
1 196 1
1 197 1
1 200 1
1 205 1
1 213 1
1 218 KETOPROFEN 100MG TABLET Ketoprofen 100 mg
1 223 1
1 225 1
1 233 LEVOFLOXACIN 500MG KAPLET LEVOFLOXACIN 500MG
1 234 1
1 237 1
1 242 1
1 249 MEROPENEM 1G INJEKSI MEROPENEM 1G
1 250 MEROPENEM 500MG INJEKSI Meropenem 500 mg Inj
1 251 1
1 253 1
1 264 1
1 270 METRONIDAZOLE 500MG TABLET METRONIDAZOLE 500MG
1 271 METRONIDAZOLE 500MG INF INFUS Metronidazole 500 mg/vial 100ml In
1 276 1
1 277 1
1 278 1
1 281 NATRIUM DIKLOFENAK 50MG TABLET Diclofenac Sodium 50 mg (Natrium
1 283 NIMODIPINE INFUS Nimodipine Infus 10mg/50ml
286 1
1 290 Omeprazole 40MG INJEKSI Omeprazole 40MG
1 291 Ondansentron 4MG INJEKSI Ondansentron 4MG
1 293 Ondansentron 8MG INJEKSI Ondansentron 8MG
1 297 Pantoprazol 40 MG INJEKSI Pantoprazole 40 mg Inj
1 298 1
1 299 Paracetamol 1 g / 100 ml INFUS Paracetamol 1 g / 100 ml
1 300 1
1 301 1
1 302 1
1 307 1
1 309 Piracetam 12 g / 60 mL INFUS Piracetam 12 g / 60 mL
1 311 PIRACETAM 1G INJEKSI Pracetam 1 g / 5 mL inj
1 312 PIRACETAM 3G INJEKSI Piracetam 3 g / 15 mL Inj
1 313 1
1 318 1
1 319 1
1 322 1
1 323 1
1 335 RIFAMPICIN 450 MG FC CAPLET RIFAMPICIN 450 MG
1 336 RIFAMPICIN 600MG FC CAPLET RIFAMPICIN 600MG
1 337 1
1 339 ROCURONIUM BROMIDE 10mg/ml INJEKSI Rocuronium Bromide
1 346 Simvastatin 10 mg TABLET Simvastatin Tablet Salut Selaput 10
1 347 1
1 349 1
1 350 1
1 356 1
1 357 SULFASALAZINE 500 MG TABLET Sulfazalazine 500mg tab
1 362 1
1 364 1
1 365 1
1 376 1
1 381 1
1 386 1
 PERINGKAT 2
HARGA JADI
HARGA DISKON
PRINCIPLE HNA/BOX ISI/BOX SATUAN( blm
SATUAN JADI
ppn)

5 6 7 8 9 10

Ifars Pharmaceutical 21,500.00 100.00 215.00 25.00 161.25

HEXPHARM JAYA 42,000.00 100.00 420.00 20.00 336.00
QUANTUM LABS 7,000.00 1.00 7,000.00 57.14 3,000.20

PHAPROS, TBK 84,269.00 10.00 8,426.90 10.00 7,584.21

Ifars Pharmaceutical 20,350.00 100.00 203.50 25.00 152.63

HEXPHARM JAYA 25,000.00 100.00 250.00 25.00 187.50

NOVELL PHARMACEUTICAL 23,000.00 5.00 4,600.00 30.00 3,220.00
HEXPHARM JAYA 52,500.00 10.00 5,250.00 50.00 2,625.00

NOVELL PHARMACEUTICAL 90,000.00 5.00 18,000.00 10.00 16,200.00

QUANTUM LABS 131,000.00 1.00 131,000.00 23.59 100,097.10
QUANTUM LABS 65,000.00 1.00 65,000.00 40.92 38,402.00

Bernofarm 135,000.00 30.00 4,500.00 75.00 1,125.00

NOVELL PHARMACEUTICAL 117,500.00 5.00 23,500.00 10.00 21,150.00

QUANTUM LABS 131,000.00 1.00 131,000.00 85.11 19,505.90

HEXPHARM JAYA 80,000.00 1.00 80,000.00 76.48 18,818.18
PHAPROS, TBK 18,200.00 2.00 9,100.00 45.00 5,005.00
Bernofarm 150,000.00 1.00 150,000.00 10.00 135,000.00
QUANTUM LABS 610,000.00 10.00 61,000.00 73.45 16,195.50
NOVELL PHARMACEUTICAL 200,000.00 2.00 100,000.00 20.00 80,000.00
HEXPHARM JAYA 20,000.00 2.00 10,000.00 52.83 4,717.00

PHAPROS, TBK 52,157.00 100.00 521.57 25.00 391.18

KIMIA FARMA 17,515.00 100.00 175.15 7.50 162.01

QUANTUM LABS 70,000.00 1.00 70,000.00 85.00 10,500.00

YARINDO FARMATAMA 50,000.00 1.00 50,000.00 25.00 37,500.00

KIMIA FARMA 76,137.83 100.00 761.38 15.00 647.17

QUANTUM LABS 110,000.00 1.00 110,000.00 70.00 33,000.00

HEXPHARM JAYA 80,000.00 50.00 1,600.00 35.00 1,040.00

NOVELL PHARMACEUTICAL 122,727.00 100.00 1,227.27 50.00 613.64

KIMIA FARMA 52,440.00 50.00 1,048.80 45.00 576.84

QUANTUM LABS 205,000.00 1.00 205,000.00 84.39 32,000.50

QUANTUM LABS 120,000.00 1.00 120,000.00 80.00 24,000.00

KIMIA FARMA 26,000.00 100.00 260.00 15.00 221.00

QUANTUM LABS 40,000.00 1.00 40,000.00 81.25 7,500.00
NOVELL PHARMACEUTICAL 15,500.00 50.00 310.00 20.00 248.00
NOVELL PHARMACEUTICAL 175,000.00 1.00 175,000.00 25.00 131,250.00

MAHAKAM BETA FARMA 250,000.00 10.00 25,000.00 40.00 15,000.00

QUANTUM LABS 50,000.00 10.00 5,000.00 73.00 1,350.00
QUANTUM LABS 72,728.00 10.00 7,272.80 50.00 3,636.40
QUANTUM LABS 85,000.00 1.00 85,000.00 84.00 13,600.00

MERSIFARMA 17,500.00 1.00 17,500.00 27.50 12,687.50

QUANTUM LABS 70,000.00 1.00 70,000.00 45.00 38,500.00

QUANTUM LABS 60,000.00 10.00 6,000.00 65.00 2,100.00
QUANTUM LABS 190,000.00 10.00 19,000.00 70.56 5,593.60

KIMIA FARMA 165,048.00 100.00 1,650.48 15.00 1,402.91

KIMIA FARMA 235,485.00 100.00 2,354.85 15.00 2,001.62

NOVELL PHARMACEUTICAL 864,000.00 12.00 72,000.00 15.00 61,200.00

HEXPHARM JAYA 27,000.00 100.00 270.00 40.00 162.00

FAHRENHEIT 130,000.00 30.00 4,333.33 45.00 2,383.33

 CP MPKU PP. MUHAMMADIYAH SINERGI SURYA MEDIKA

OBAT GENERIK BERLOGO (OGB)

HARGA JADI Keterang NAMA

RANKING No BAHAN AKTIF /KOMPOSISI SEDIAAN
satuan+PPN an OBAT

11 12 13 1 2 3 4
1
2
3
4
5
6
7
177.38 2 16 ALLOPURINOL 100MG TABLET ALLOPURIN
369.60 2 17
3,300.22 2 20 AMBROXOL HCL 15MG SYRUP AMBROXOL
29
33
8,342.63 2 34
167.89 2 35 ANTALGIN TABLET ANTALGIN
36
40
41
42
43
206.25 2 44
3,542.00 2 45 ASAM TRANEXAMAT 250MG INJEKSI ASAM TRAN
2,887.50 2 46 ASAM TRANEXAMAT 500MG INJEKSI Tranexamic
47
17,820.00 2 51
110,106.81 2 53
42,242.20 2 55
59
60
1,237.50 2 63
23,265.00 2 65
76
21,456.49 2 81 CEFAPERAZON NA + SULBACTA INJEKSI Cefoperazo
20,700.00 2 87 CEFOPERAZONE NA 1G INJEKSI CEFOPERAZ
5,505.50 2 88 CEFOTAXIME NA 1G INJEKSI Cefotaxime
148,500.00 2 89
17,815.05 2 91 CEFTAZIDIME PENTAHYDRATE 1INJEKSI Ceftazidime
88,000.00 2 92
5,188.70 2 93
98
430.30 2 100 Chloramphenicol KAPSUL Chloramphe
103
178.22 2 104 Cimetidin TABLET Cimetidine
11,550.00 2 105 Ciprofloxacin 200 mg / 100 ml INFUS Ciprofloxac
113
128
129
130
131
132
41,250.00 2 133
135
137
146
150
711.89 2 170
36,300.00 2 177 Fluconazole 200 mg / 100 mL INFUS Fluconazole
178
179
1,144.00 2 191 GLIMEPIRIDE 4MG TABLET GLIMEPIRI
196
197
200
205
213
675.00 2 218 KETOPROFEN 100MG TABLET Ketoprofen
223
225
634.52 2 233 LEVOFLOXACIN 500MG KAPLET Levofloxac
234
237
242
35,200.55 2 249 MEROPENEM 1G INJEKSI MEROPENE
26,400.00 2 250 MEROPENEM 500MG INJEKSI Meropenem
251
253
264
243.10 2 270 METRONIDAZOLE 500MG TABLET Metronidaz
8,250.00 2 271 METRONIDAZOLE 500MG INF INFUS Metronidazo
276
277
278
 272.80 2 281 NATRIUM DIKLOFENAK 50MG TABLET Diclofenac
144,375.00 2 283
286
16,500.00 2 290 Omeprazole 40MG INJEKSI Omeprazol
1,485.00 2 291 Ondansentron 4MG INJEKSI Ondansentr
4,000.04 2 293 Ondansentron 8MG INJEKSI Ondansetron
14,960.00 2 297 Pantoprazol 40 MG INJEKSI Pantoprazol
298
13,956.25 2 299 Paracetamol 1 g / 100 ml INFUS Paracetamol
300
301
302
307
42,350.00 2 309
2,310.00 2 311 PIRACETAM 1G INJEKSI Pracetam 1
6,152.96 2 312 PIRACETAM 3G INJEKSI Piracetam 3
313
318
319
322
323
1,543.20 2 335
2,201.78 2 336
337
67,320.00 2 339
178.20 2 346 Simvastatin 10 mg TABLET Simvastati
347
349
350
356
2,621.67 2 357
362
364
365
376
381
386
GI SURYA MEDIKA

PERINGKAT 3

HARGA DISKON
PRINCIPLE HNA/BOX ISI/BOX
SATUAN JADI

5 6 7 8 9

KIMIA FARMA 18,720.00 100.00 187.20 13.00

PHAPROS, TBK 5,000.00 1.00 5,000.00 30.00

KIMIA FARMA 28,008.00 100.00 280.08 10.00

MAHAKAM BETA FARMA 48,000.00 10.00 4,800.00 30.00

NOVELL PHARMACEUTICAL 63,000.00 10.00 6,300.00 40.00

NOVELL PHARMACEUTICAL 95,000.00 1.00 95,000.00 60.00

MAHAKAM BETA FARMA 80,000.00 2.00 40,000.00 25.00
HEXPHARM JAYA 17,000.00 2.00 8,500.00 40.00

Bernofarm 600,000.00 10.00 60,000.00 73.00

KIMIA FARMA 61,985.00 100.00 619.85 12.50

Ifars Pharmaceutical Laboratories 25,000.00 100.00 250.00 25.00

HEXPHARM JAYA 26,000.00 1.00 26,000.00 50.00

NOVELL PHARMACEUTICAL 105,000.00 1.00 105,000.00 60.00

KIMIA FARMA 118,454.00 50.00 2,369.08 60.00

HEXPHARM JAYA 61,364.00 50.00 1,227.28 40.00

NOVELL PHARMACEUTICAL 52,440.00 50.00 1,048.80 40.00

MAHAKAM BETA FARMA 550,000.00 10.00 55,000.00 40.00

MAHAKAM BETA FARMA 500,000.00 10.00 50,000.00 40.00

Ifars Pharmaceutical Laboratories 30,666.67 100.00 306.67 25.00

HEXPHARM JAYA 20,000.00 1.00 20,000.00 58.29
KIMIA FARMA 20,835.00 50.00 416.70 15.00

QUANTUM LABS 85,000.00 1.00 85,000.00 81.18

MAHAKAM BETA FARMA 29,000.00 10.00 2,900.00 27.00
HEXPHARM JAYA 36,000.00 5.00 7,200.00 40.00
PHAPROS, TBK 34,000.00 1.00 34,000.00 55.00

HEXPHARM JAYA 35,000.00 1.00 35,000.00 50.69

NOVELL PHARMACEUTICAL 72,000.00 12.00 6,000.00 40.00

HEXPHARM JAYA 40,000.00 4.00 10,000.00 30.00

FAHRENHEIT 13,991.00 30.00 466.37 65.00

 HARGA JADI
HARGA JADI Keterang
SATUAN( blm RANKING
satuan+PPN an
ppn)

10 11 12 13

162.86 179.15 3

3,500.00 3,850.00 3

252.07 277.28 3

3,360.00 3,696.00 3
3,780.00 4,158.00 3

38,000.00 41,800.00 3
30,000.00 33,000.00 3
5,100.00 5,610.00 3

16,200.00 17,820.00 3
 542.37 596.61 3

187.50 206.25 3
13,000.00 14,300.00 3

42,000.00 46,200.00 3

947.63 1,042.40 3

736.37 810.00 3

629.28 692.21 3

33,000.00 36,300.00 3
30,000.00 33,000.00 3

230.00 253.00 3
8,342.00 9,176.20 3
 354.20 389.61 3

15,997.00 17,596.70 3
2,117.00 2,328.70 3
4,320.00 4,752.00 3
15,300.00 16,830.00 3

17,258.50 18,984.35 3

3,600.00 3,960.00 3
7,000.00 7,700.00 3

163.23 179.55 3
No BAHAN AKTIF /KOMPOSISI SEDIAAN NAMA OBAT

1 2 3 4
1 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj + Pelarut Be
2 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj tanpa pelaru
3 6A-METILPREDNISOLON 125 MG INJEKSI Methylprednisolon 125mg Inj tanpa pelaru
4 6A-METILPREDNISOLON 4MG TABLET Methylprednisolon 4mg tab
5 6A-METILPREDNISOLON 500MG INJEKSI Methylprednisolon 500mg Inj tanpa pelaru
6 6A-METILPREDNISOLON 500MG INJEKSI Methylprednisolon 500mg Inj+ Pelarut Ben
7 6A-METILPREDNISOLON 8MG TABLET Methylprednisolon 8mg tab
16 ALLOPURINOL 100 MG TABLET ALLOPURINOL 100 MG
17 ALLOPURINOL 300 MG TABLET ALLOPURINOL 300 MG
20 AMBROXOL HCL 15MG SYRUP Ambroxol 15mg Elixir
29 AMOXICILLIN DROP Amoxicillin Trihydrate 100mg/ml Sirup Ker
33 AMOXICILLIN1G INJ INJEKSI Amoxicillin 1 g
34 AMPICILLIN INJEKSI Ampicillin 1 gr Inj
35 ANTALGIN Tablet Antalgin 500mg kapt
36 ANTALGIN INJEKSI Antalgin 250mg Inj (500mg/2ml)
40 AQUA PRO INJECTION INFUS Aqua Pro 10 ml Inj
41 AQUA PRO INJECTION INFUS Aqua Pro 20 ml Inj
42 AQUA PRO INJECTION INFUS Aqua Pro 50 ml Inj
43 ASAM MEFENAMAT SUSPENSI Asam Mefenamat Suspensi 50mg/5ml
44 ASAM MEFENAMAT 500MG TABLET Asam Mefenamat 500mg kapt
45 ASAM TRANEXAMAT 250MG INJEKSI Asam Traneksamat 250mg Inj
46 ASAM TRANEXAMAT 500MG INJEKSI Asam Traneksamat 500mg Inj
47 ASAM TRANEXAMAT 500MG TABLET Asam Traneksamat 500mg tab
51 ATRACURIUM BESYLATE 1% 2.5M INJEKSI Atracurium Besylate 1 % 2.5 ml
53 AZITHROMICIN 500MG INJEKSI Azithromycin 500 mg Serbuk Infus
55 AZITHROMICIN DS 200MG DRY SYRUPAzithromycin 200mg/5ml Dry Syr
59 BETAMETHASONE KREAM Betamethasone 17 Valerate 15 gram
60 BETAMETHASONE KREAM Betamethasone 17 Valerate 5 gram
63 Bisoprolol Fumarate TABLET Bisoprolol Fumarate Tablet Salut Selaput
65 BUPIVACAINE HCL 0.5% HVY 4 MLINJEKSI BUPIVACAINE HCL 0.5% HVY 4 ML
76 CEFADROXIL ANHYDRAT DRY SYRUPCefadroxil 250 mg/5ml Dry Syr
81 CEFAPERAZON NA + SULBACTAM INJEKSI Cefoperazon Na + sulbactam Na
87 CEFOPERAZONE NA 1G INJEKSI Cefoperazon Na 1 gr
88 CEFOTAXIME NA 1G INJEKSI Cefotaxime 1 gr Inj
89 CEFOTIAM 1G INJEKSI CEFOTIAM 1G
91 CEFTAZIDIME PENTAHYDRATE 1G INJEKSI CEFTAZIDIME PENTAHYDRATE 1G
92 CEFTIZOXIME NA 1G INJEKSI Ceftizoxime Sodium Serbuk Injeksi
93 CEFTRIAXONE DI NATRIUM 1G INJEKSI Ceftriaxone 1 gr Inj
98 Chloramphenicol SYRUP Chloramphenicol
100 Chloramphenicol CAPSUL Chloramphenicol
103 CILOSTAZOL 100MG TABLET CILOSTAZOL 100MG
104 Cimetidin TABLET Cimetidine 200 mg tab
105 Ciprofloxacin 200 mg / 100 ml INFUS Ciprofloxacin 200 mg / 100 ml
113 CITICOLINE 1G INJEKSI Citicoline 1000mg/8ml Inj
128 COTRIMOXAZOLE TABLET Cotrimoxazole 480mg tab
129 COTRIMOXAZOLE TABLET Cotrimoxazole Forte 960 mg kapt
130 CYANOCOBALAMIN 1000 INJEKSI Vit B12 (Cyanocobalamin) 1000mcg/ml Inj
131 CYANOCOBALAMIN 500 INJEKSI Vit B12 (Cyanocobalamin) 500mcg/ml Inj
132 CYANOCOBALAMIN 500 INJEKSI Vit6
133 Desloratadin SYRUP Desloratadine 0,5mg/ml sirup
135 Desloratadin 5MG Injeksi Dexamethasone Injeksi 0,5 mg kapt
137 DEXAMETHASONE INJEKSI Dexamethasone Injeksi 5mg/ml Inj
146 DIPHENHYDRAMINE INJEKSI Diphenhydramine 10mg/ml Hydrochloride I
150 Domperidone DROP Domperidon 5mg/ml drops
170 ETHAMBUTOL 500MG TABLET ETHAMBUTOL 500MG
177 Fluconazole 200 mg / 100 mL INFUS Fluconazole 200mg/vial 100 ml Infus
178 FLUNARIZINE 10MG TABLET Flunarizine 10mg
179 FLUNARIZINE 5MG TABLET FLUNARIZINE 5MG
191 GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 4MG
196 Human Albumin 20% 100ML INFUS Kedrialb Infus 20% (Human Albumin 200
197 Human Albumin 20% 50ML INFUS Kedrialb Infus 20% (Human Albumin 200
200 IBUPROFEN 100MG SYRUP IBUPROFEN 100MG
205 Iohexol 300 mg INJEKSI Iohexol 300 mg Inj
213 ITRACONAZOLE 100MG KAPSUL Itraconazole 100 mg kaps
218 KETOPROFEN 100MG TABLET KETOPROFEN 100MG
223 KOMBINASI :CEFAPERAZON NA + INJEKSI Cefoperazone + Sulbactam 1 gr Inj
225 KOMBINASI:IMPIENEM + CILASTATINJEKSI Imipenem - Cilastatin 1 gr
233 LEVOFLOXACIN 500MG KAPLET LEVOFLOXACIN 500MG
234 Levofloxacin 750 mg  INFUS LEVOFLOXACIN Infus 750MG/150ML Infus
237 Lidocaine INJEKSI Lidocaine HCL 5% Inj
242 L-Ornithin Aspartat INJEKSI  10ml
Ornithine Aspartate 500 mg Injeksi
249 MEROPENEM 1G INJEKSI MEROPENEM 1G
250 MEROPENEM 500MG INJEKSI Meropenem 500 mg Inj
251 METAMIZOLE NA INJEKSI Metamizole Sodium Monohydrate 500mg I
253 METFORMIN HCL 850MG TABLET METFORMIN HCL 850MG
264 Metoclopramide pediatric dMetoclopramide Hydrchloride Monohydra
270 METRONIDAZOLE 500MG TABLET METRONIDAZOLE 500MG
271 METRONIDAZOLE 500MG INF INFUS Metronidazole 500 mg/vial 100ml Infus
276 MOXIFLOXACIN HCL INFUS MOXIFLOXACIN HCL
277 MOXIFLOXACIN HCL TABLET Moxifloxacin Hydrochloride 400 mg
278 MOXIFLOXACIN HCL 400 MG KAPLET MOXIFLOXACIN HCL 400 MG
281 NATRIUM DIKLOFENAK 50MG TABLET Diclofenac Sodium 50 mg (Natrium Diklof
283 NIMODIPINE INFUS Nimodipine Infus 10mg/50ml
286 OFLOXACIN INFUS Ofloxacin Infus
290 Omeprazole 40MG INJEKSI Omeprazole 40MG
291 Ondansentron 4MG INJEKSI Ondansentron 4mg/2ml Inj
293 Ondansentron 8MG INJEKSI Ondansentron 8MG
297 Pantoprazol 40 MG INJEKSI Pantoprazole 40 mg Inj
298 PARACETAMOL TABLET Paracetamol 500 mg kapt
299 Paracetamol 1 g / 100 ml INFUS Paracetamol 1 g / 100 ml
300 PARACETAMOL 100mg/ml drops drop PARACETAMOL 100mg/ml drops
301 PARACETAMOL 120mg/5ml Syr SIRUP PARACETAMOL 120mg/5ml Syr
302 PARACETAMOL 125 MG SIRUP Paracetamol 125 mg Syr
307 Phytomenadione INJEKSI Phytomenadione
309 Piracetam 12 g / 60 mL INFUS Piracetam 12 g / 60 mL
311 PIRACETAM 1G INJEKSI Pracetam 1 g / 5 mL inj
312 PIRACETAM 3G INJEKSI Piracetam 3 g / 15 mL Inj
313 PIRACETAM 400MG KAPSUL PIRACETAM 400MG
318 PREDNISOLONE Tablet Prednison 5 mg tab
319 PREDNISOLONE ACETAT Tablet PREDNISON 5 MG
322 PROCAINE-PENICILLIN-G INJEKSI Procain Benzyl Penicillin Inj 3.000.000 IU
323 PROCAINE-PENICILLIN-G TABLET Pyratthuazine 4omg, Pyridoxine 37,5 mg
335 RIFAMPICIN 450 MG FC CAPLETRIFAMPICIN 450 MG
336 RIFAMPICIN 600MG FC CAPLETRIFAMPICIN 600MG
337 RISPERIDONE 1MG/ML SYrup RISPERIDONE 1MG/ML
339 ROCURONIUM BROMIDE 10mg/mlINJEKSI Rocuronium 50mg/5ml Inj
346 Simvastatin 10 mg TABLET Simvastatin 10 mg
347 Simvastatin 20 mg TABLET Simvastatin 20 mg kaptab salut selaput
349 SOBUVIR TABLET Sobuvir 400mg Tablet Salut Selaput
350 Sodium Valporate SYRUP Sodium Valporate Syr
356 SULBENICILLIN DISODIUM INJEKSI SULBENICILLIN DISODIUM
357 SULFASALAZINE 500 MG TABLET Sulfazalazine 500mg tab
362 THIAMPHENICOL CAP 500 KAPSUL THIAMPHENICOL CAP 500
364 THIOPENTAL 1000MG INJEKSI THIOPENTAL 1000MG
365 THIOPENTAL 500MG INJEKSI THIOPENTAL 500MG
376 VALACICLOVIR 500MG KAPLET VALACICLOVIR 500MG
381 VITAMIN INJEKSI Vit B1
386 ZINC Sulfas Monohydrate DROP ZINC Sulfas Monohydrate Sirup
 HARGA JADI
HARGA DISKON
PRINCIPLE HNA/BOX ISI/BOX SATUAN( blm
SATUAN JADI
ppn)
5 6 7 8 9 10
BERNOFARM 45,000.00 1.00 45,000.00 76.00 10,800.00
BERNOFARM 450,000.00 10.00 45,000.00 76.00 10,800.00
BERNOFARM 4,500,000.00 100.00 45,000.00 76.00 10,800.00
BERNOFARM 48,060.00 100.00 480.60 60.00 192.24
BERNOFARM 1,300,000.00 10.00 130,000.00 30.00 91,000.00
BERNOFARM 140,000.00 1.00 140,000.00 30.00 98,000.00
BERNOFARM 63,818.00 100.00 638.18 50.00 319.09
BERNOFARM 25,000.00 100.00 250.00 45.00 137.50
BERNOFARM 50,000.00 100.00 500.00 40.00 300.00
BERNOFARM 60,000.00 10.00 6,000.00 50.00 3,000.00
BERNOFARM 130,000.00 10.00 13,000.00 10.00 11,700.00
BERNOFARM 135,000.00 10.00 13,500.00 30.00 9,450.00
BERNOFARM 120,000.00 10.00 12,000.00 37.00 7,560.00
BERNOFARM 150,000.00 ### 150.00 40.00 90.00
BERNOFARM 81,818.00 30.00 2,727.27 10.00 2,454.54
BERNOFARM 300,000.00 100.00 3,000.00 50.00 1,500.00
BERNOFARM 60,000.00 10.00 6,000.00 40.00 3,600.00
BERNOFARM 15,000.00 1.00 15,000.00 45.00 8,250.00
BERNOFARM 100,000.00 10.00 10,000.00 40.00 6,000.00
BERNOFARM 27,000.00 100.00 270.00 40.00 162.00
BERNOFARM 70,000.00 10.00 7,000.00 65.00 2,450.00
Bernofarm 100,000.00 10.00 10,000.00 81.12 1,888.00
Bernofarm 180,000.00 100.00 1,800.00 20.00 1,440.00
BERNOFARM 400,000.00 10.00 40,000.00 65.00 14,000.00
BERNOFARM 130,000.00 1.00 130,000.00 23.00 100,100.00
Bernofarm 64,000.00 1.00 64,000.00 50.00 32,000.00
Bernofarm 375,000.00 25.00 15,000.00 20.00 12,000.00
Bernofarm 175,000.00 25.00 7,000.00 20.00 5,600.00
Bernofarm 105,000.00 30.00 3,500.00 80.00 700.00
BERNOFARM 350,000.00 10.00 35,000.00 50.00 17,500.00
Bernofarm 15,000.00 1.00 15,000.00 35.00 9,750.00
BERNOFARM 130,000.00 1.00 130,000.00 85.00 19,500.00
BERNOFARM 800,000.00 10.00 80,000.00 80.00 16,000.00
Bernofarm 4,000,000.00 100.00 40,000.00 89.81 4,076.00
BERNOFARM 150,000.00 1.00 150,000.00 15.00 127,500.00
BERNOFARM 600,000.00 10.00 60,000.00 79.00 12,600.00
BERNOFARM 1,200,000.00 10.00 120,000.00 40.00 72,000.00
Bernofarm 3,500,000.00 100.00 35,000.00 87.77 4,280.50
BERNOFARM 11,818.00 1.00 11,818.00 35.00 7,681.70
BERNOFARM 60,000.00 100.00 600.00 35.00 390.00
BERNOFARM 950,000.00 100.00 9,500.00 30.00 6,650.00
BERNOFARM 20,000.00 100.00 200.00 30.00 140.00
BERNOFARM 70,000.00 1.00 70,000.00 85.00 10,500.00
Bernofarm 750,000.00 10.00 75,000.00 60.00 30,000.00
Bernofarm 25,000.00 100.00 250.00 30.00 175.00
Bernofarm 50,000.00 100.00 500.00 30.00 350.00
Bernofarm 320,000.00 100.00 3,200.00 15.00 2,720.00
Bernofarm 230,000.00 100.00 2,300.00 15.00 1,955.00
Bernofarm 230,000.00 100.00 2,300.00 15.00 1,955.00
Bernofarm 500,000.00 10.00 50,000.00 30.00 35,000.00
Bernofarm 14,000.00 100.00 140.00 40.00 84.00
Bernofarm 218,400.00 100.00 2,184.00 30.00 1,528.80
Bernofarm 70,000.00 10.00 7,000.00 20.00 5,600.00
BERNOFARM 30,000.00 1.00 30,000.00 30.00 21,000.00
BERNOFARM 62,575.00 100.00 625.75 30.00 438.03
Bernofarm 110,000.00 1.00 110,000.00 70.00 33,000.00
Bernofarm 318,182.00 100.00 3,181.82 40.00 1,909.09
BERNOFARM 200,000.00 100.00 2,000.00 40.00 1,200.00
BERNOFARM 284,294.00 100.00 2,842.94 75.00 710.74
Bernofarm 1,650,000.00 1.00 1,650,000.00 20.00 1,320,000.00
Bernofarm 820,000.00 1.00 820,000.00 20.00 656,000.00
BERNOFARM 100,000.00 10.00 10,000.00 30.00 7,000.00
Bernofarm 150,000.00 1.00 150,000.00 25.00 112,500.00
Bernofarm 120,000.00 30.00 4,000.00 35.00 2,600.00
BERNOFARM 120,000.00 100.00 1,200.00 50.00 600.00
Bernofarm 130,000.00 1.00 130,000.00 86.04 18,148.00
Bernofarm 200,000.00 1.00 200,000.00 30.00 140,000.00
BERNOFARM 120,727.00 100.00 1,207.27 60.00 482.91
Bernofarm 200,000.00 1.00 200,000.00 20.00 160,000.00
Bernofarm 200,000.00 10.00 20,000.00 30.00 14,000.00
Bernofarm 800,000.00 10.00 80,000.00 20.00 64,000.00
BERNOFARM 2,000,000.00 10.00 200,000.00 84.00 32,000.00
BERNOFARM 1,200,000.00 10.00 120,000.00 80.00 24,000.00
Bernofarm 45,454.00 10.00 4,545.40 20.00 3,636.32
BERNOFARM 36,000.00 100.00 360.00 45.00 198.00
BERNOFARM 180,000.00 10.00 18,000.00 20.00 14,400.00
BERNOFARM 24,000.00 100.00 240.00 30.00 168.00
BERNOFARM 50,000.00 1.00 50,000.00 85.00 7,500.00
BERNOFARM 300,000.00 1.00 300,000.00 55.00 135,000.00
Bernofarm 700,000.00 20.00 35,000.00 45.00 19,250.00
BERNOFARM 700,000.00 20.00 35,000.00 45.00 19,250.00
BERNOFARM 23,747.00 100.00 237.47 45.00 130.61
BERNOFARM 165,000.00 1.00 165,000.00 45.00 90,750.00
Bernofarm 100,000.00 1.00 100,000.00 20.00 80,000.00
BERNOFARM 80,000.00 1.00 80,000.00 84.00 12,800.00
Bernofarm 50,000.00 10.00 5,000.00 79.56 1,022.00
BERNOFARM 72,728.00 10.00 7,272.80 50.00 3,636.40
BERNOFARM 80,000.00 1.00 80,000.00 83.00 13,600.00
Bernofarm 114,550.00 ### 114.55 35.00 74.46
Bernofarm 60,000.00 1.00 60,000.00 81.22 11,268.00
Bernofarm 150,000.00 10.00 15,000.00 20.00 12,000.00
BERNOFARM 50,000.00 10.00 5,000.00 10.00 4,500.00
BERNOFARM 5,000.00 1.00 5,000.00 40.00 3,000.00
BERNOFARM 80,000.00 10.00 8,000.00 58.00 3,360.00
BERNOFARM 70,000.00 1.00 70,000.00 45.00 38,500.00
BERNOFARM 60,000.00 10.00 6,000.00 65.00 2,100.00
BERNOFARM 186,600.00 10.00 18,660.00 70.00 5,598.00
BERNOFARM 49,200.00 100.00 492.00 45.00 270.60
BERNOFARM 136,364.00 ### 136.36 30.00 95.45
BERNOFARM 18,000.00 100.00 180.00 30.00 126.00
BERNOFARM 600,000.00 30.00 20,000.00 10.00 18,000.00
BERNOFARM 120,000.00 100.00 1,200.00 10.00 1,080.00
BERNOFARM 170,000.00 100.00 1,700.00 30.00 1,190.00
BERNOFARM 270,000.00 100.00 2,700.00 40.00 1,620.00
BERNOFARM 150,000.00 1.00 150,000.00 15.00 127,500.00
BERNOFARM 70,000.00 1.00 70,000.00 35.06 45,458.00
BERNOFARM 55,963.00 100.00 559.63 75.00 139.91
BERNOFARM 111,928.00 100.00 1,119.28 75.00 279.82
BERNOFARM 3,400,000.00 28.00 121,428.57 10.00 109,285.71
BERNOFARM 70,000.00 1.00 70,000.00 10.00 63,000.00
BERNOFARM 350,000.00 10.00 35,000.00 15.00 29,750.00
BERNOFARM 200,000.00 100.00 2,000.00 15.00 1,700.00
BERNOFARM 120,000.00 100.00 1,200.00 40.00 720.00
BERNOFARM 850,000.00 10.00 85,000.00 5.00 80,750.00
BERNOFARM 680,000.00 10.00 68,000.00 5.00 64,600.00
BERNOFARM 300,000.00 30.00 10,000.00 20.00 8,000.00
BERNOFARM 120,000.00 100.00 1,200.00 15.00 1,020.00
BERNOFARM 20,000.00 1.00 20,000.00 10.00 18,000.00
 HARGA JADI
satuan+PPN HNA+PPN /SATUANDISKON HARGA JADI
11 12 13 14
11,880.00 45,000.00 56% 19,800.00
11,880.00 45,000.00 56% 19,800.00
11,880.00 45,000.00 56% 19,800.00
211.46 480.60 40% 288.36
100,100.00 130,000.00 20% 104,000.00
107,800.00 140,000.00 20% 112,000.00
351.00 638.18 30% 446.73
151.25 250.00 25% 187.50
330.00 500.00 20% 400.00
3,300.00 6,000.00 30% 4,200.00
12,870.00 13,000.00 5% 12,350.00
10,395.00 13,500.00 20% 10,800.00
8,316.00 12,000.00 20% 9,600.00
99.00 150.00 25% 112.50
2,699.99 2,727.27 5% 2,590.90
1,650.00 3,000.00 30% 2,100.00
3,960.00 6,000.00 25% 4,500.00
9,075.00 15,000.00 25% 11,250.00
6,600.00 10,000.00 25% 7,500.00
178.20 270.00 25% 202.50
2,695.00 7,000.00 45% 3,850.00
2,076.80 10,000.00 50% 5,000.00
1,584.00 1,800.00 10% 1,620.00
15,400.00 40,000.00 40% 24,000.00
110,110.00 130,000.00 13% 113,100.00
35,200.00 64,000.00 30% 44,800.00
13,200.00 15,000.00 10% 13,500.00
6,160.00 7,000.00 10% 6,300.00
770.00 3,500.00 50% 1,750.00
19,250.00 35,000.00 30% 24,500.00
10,725.00 15,000.00 20% 12,000.00
21,450.00 130,000.00 55% 58,500.00
17,600.00 80,000.00 50% 40,000.00
4,483.60 40,000.00 55% 18,000.00
140,250.00 150,000.00 10% 135,000.00
13,860.00 60,000.00 56% 26,400.00
79,200.00 120,000.00 56% 52,800.00
4,708.55 35,000.00 55% 15,750.00
8,449.87 11,818.00 20% 9,454.40
429.00 600.00 20% 480.00
7,315.00 9,500.00 20% 7,600.00
154.00 200.00 20% 160.00
11,550.00 70,000.00 55% 31,500.00
33,000.00 75,000.00 40% 45,000.00
192.50 250.00 20% 200.00
 385.00 500.00 20% 400.00
2,992.00 3,200.00 10% 2,880.00
2,150.50 2,300.00 10% 2,070.00
2,150.50 2,300.00 10% 2,070.00
38,500.00 50,000.00 20% 40,000.00
92.40 140.00 25% 105.00
1,681.68 2,184.00 20% 1,747.20
6,160.00 7,000.00 10% 6,300.00
23,100.00 30,000.00 20% 24,000.00
481.83 625.75 20% 500.60
36,300.00 110,000.00 50% 55,000.00
2,100.00 3,181.82 25% 2,386.37
1,320.00 2,000.00 25% 1,500.00
781.81 2,842.94 50% 1,421.47
1,452,000.00 1,650,000.00 10% 1,485,000.00
721,600.00 820,000.00 10% 738,000.00
7,700.00 10,000.00 20% 8,000.00
123,750.00 150,000.00 15% 127,500.00
2,860.00 4,000.00 20% 3,200.00
660.00 1,200.00 30% 840.00
19,962.80 130,000.00 55% 58,500.00
154,000.00 200,000.00 20% 160,000.00
531.20 1,207.27 40% 724.36
176,000.00 200,000.00 10% 180,000.00
15,400.00 20,000.00 20% 16,000.00
70,400.00 80,000.00 10% 72,000.00
35,200.00 200,000.00 55% 90,000.00
26,400.00 120,000.00 50% 60,000.00
3,999.95 4,545.40 10% 4,090.86
217.80 360.00 25% 270.00
15,840.00 18,000.00 10% 16,200.00
184.80 240.00 20% 192.00
8,250.00 50,000.00 55% 22,500.00
148,500.00 300,000.00 35% 195,000.00
21,175.00 35,000.00 25% 26,250.00
21,175.00 35,000.00 25% 26,250.00
143.67 237.47 25% 178.10
99,825.00 165,000.00 25% 123,750.00
88,000.00 100,000.00 10% 90,000.00
14,080.00 80,000.00 50% 40,000.00
1,124.20 5,000.00 50% 2,500.00
4,000.04 7,272.80 30% 5,090.96
14,960.00 80,000.00 50% 40,000.00
81.90 114.55 20% 91.64
12,394.80 60,000.00 50% 30,000.00
13,200.00 15,000.00 10% 13,500.00
4,950.00 5,000.00 5% 4,750.00
3,300.00 5,000.00 25% 3,750.00
 3,696.00 8,000.00 35% 5,200.00
42,350.00 70,000.00 25% 52,500.00
2,310.00 6,000.00 40% 3,600.00
6,157.80 18,660.00 45% 10,263.00
297.66 492.00 25% 369.00
105.00 136.36 20% 109.09
138.60 180.00 20% 144.00
19,800.00 20,000.00 5% 19,000.00
1,188.00 1,200.00 5% 1,140.00
1,309.00 1,700.00 20% 1,360.00
1,782.00 2,700.00 25% 2,025.00
140,250.00 150,000.00 10% 135,000.00
50,003.80 70,000.00 20% 56,000.00
153.90 559.63 50% 279.82
307.80 1,119.28 50% 559.64
120,214.29 121,428.57 5% 115,357.14
69,300.00 70,000.00 5% 66,500.00
32,725.00 35,000.00 10% 31,500.00
1,870.00 2,000.00 10% 1,800.00
792.00 1,200.00 25% 900.00
88,825.00 85,000.00 5% 80,750.00
71,060.00 68,000.00 5% 64,600.00
8,800.00 10,000.00 10% 9,000.00
1,122.00 1,200.00 10% 1,080.00
19,800.00 20,000.00 5% 19,000.00
HARGA JADI+PPN(SATUAN)

21,780.00
21,780.00
21,780.00
317.20
114,400.00
123,200.00
491.40
206.25
440.00
4,620.00
13,585.00
11,880.00
10,560.00
123.75
2,849.99
2,310.00
4,950.00
12,375.00
8,250.00
222.75
4,235.00
5,500.00
1,782.00
26,400.00
124,410.00
49,280.00
14,850.00
6,930.00
1,925.00
26,950.00
13,200.00
64,350.00
44,000.00
19,800.00
148,500.00
29,040.00
58,080.00
17,325.00
10,399.84
528.00
8,360.00
176.00
34,650.00
49,500.00
220.00
 440.00
3,168.00
2,277.00
2,277.00
44,000.00
115.50
1,921.92
6,930.00
26,400.00
550.66
60,500.00
2,625.00
1,650.00
1,563.62
1,633,500.00
811,800.00
8,800.00
140,250.00
3,520.00
924.00
64,350.00
176,000.00
796.80
198,000.00
17,600.00
79,200.00
99,000.00
66,000.00
4,499.95
297.00
17,820.00
211.20
24,750.00
214,500.00
28,875.00
28,875.00
195.91
136,125.00
99,000.00
44,000.00
2,750.00
5,600.06
44,000.00
100.80
33,000.00
14,850.00
5,225.00
4,125.00
 5,720.00
57,750.00
3,960.00
11,289.30
405.90
120.00
158.40
20,900.00
1,254.00
1,496.00
2,227.50
148,500.00
61,600.00
307.80
615.60
126,892.86
73,150.00
34,650.00
1,980.00
990.00
88,825.00
71,060.00
9,900.00
1,188.00
20,900.00